Organization
HCO BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE AUSTIN (CEO)
(225) 261-0160
Entity
Organization
Contact information
Practice address
6659 SULLIVAN RD, GREENWELL SPRINGS, LA 70739-3112
(225) 261-0160
(225) 261-0898
Mailing address
6659 SULLIVAN RD, GREENWELL SPRINGS, LA 70739-3112
(225) 261-0160
(225) 261-0898
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
600768325
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600768325
BEHAVIORAL HEALTH SERVICES
LA
Enumeration date
06/29/2015
Last updated
06/29/2015
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